Palouse Neurology | |
803 S Main St Ste 110 Moscow ID 83843-2695 | |
(208) 813-7519 | |
(208) 813-7524 |
Full Name | Palouse Neurology |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 803 S Main St Ste 110, Moscow, Idaho |
Authorized Official Name and Position | Sacha L Smith (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5093323488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Palouse Neurology Po Box 847 Pullman WA 99163-0847 Ph: (509) 330-5607 | Palouse Neurology 803 S Main St Ste 110 Moscow ID 83843-2695 Ph: (208) 813-7519 |
NPI Number | 1407499445 |
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Provider Enumeration Date | 10/22/2019 |
Last Update Date | 08/02/2023 |
Certification Date | 08/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407499445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
News Archive
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